Laserfiche WebLink
Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ' �C;r� n► (%1 � ZIP: <br /> Will this b 71rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ElYes o /f yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �_� LIA I VG� PHONE: (home CG)[�- ZG(� --777 <br /> (work) <br /> MAILING ADDRESS: �3c- ( rrn KnM U-1 CITY: C Ye-VY' ZIp--— j - <br /> CONTRACTOR: SELA R00FING & REMODF1 ING IA,r PHONE: <br /> CONTACT PERSON: UU EXCELSJO1j BLVMOftL /PAGER: <br /> MAILING ADDRESS: tAHK, MN 5541CITY: ZIP: <br /> STATE LICENSE: # -Q EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � � <br /> 31 <br />